Kidney Round 1 Flashcards
When there are WBC casts in the urine?
Acute Interstitial Nephritis
When are there Muddy Brown casts in the urine?
ATN
What drug is an excellent phosphate binder?
Sevelaver
Insulin is cleared by what?
Kidneys
What stabilizes hyperkalemia emergently?
Calcium Chloride
What lowers TBK?
Loop diuretics, Kayexalate
If potassium does not rise, what electrolyte should be checked?
Magnesium
What can temporize hyperkalemia, shift K into cells?
Beta agonists, Insulin, D5O, Na-Bicarb
When there is tetani, perioral tingling, and chostekis, what is the underlying problem?
Hypocalcemia
When there is hypocalcemia, what do you check first?
Albumin
What is wrong with stones, moans, groans, and the bones?
Hypercalcemia
What do you give with hypercalcemia?
What do you give long term?
IVF
Bisphonates, stop bone breakdown
What is secondary PTH?
Early CKD
What can be diagnosed with it?
Sestambi Scan
How do you treat hypervitaminosis D?
Steroids
If I have elevated Calcium and Phosphate, low PTH, what could I be?
Hypervitaminosis D, from sarcoid and TB
What is Calcium (11-12) low urine CA, what is this?
Familial Hypercalcemic Hypocalsuria
If I have CKD, what is impaired?
Vitamin D
What disease has a lot of PTH, but low calcium, a different wrinkle?
Pseudohypoparathyroidism
If I have osteopenia, what is the first step?
What should be the first line treatment?
Dexa Scan 2.0
Bisphosphanates
Just after surgery, I have low calcium, phosphorus, and PTH, what disease am I?
Hungry Bone
Kidney stone less than 5 mm?
IVF and Pain Meds, Lithotripsty
Kidney stone over 3 cm?
Surgery, 1st put in a nephrostomy tube
Kidney stone greater than 7 mm?
MET, calcium channel blockers, and alpha blockers
Kidney stone great than 1.5 cm?
Proximal = Lap»_space; Open
Distal = PAN
What kind of stone is from proteus?
Strivute
What stone is from Gout?
Uric Acid stone
What stone is from Cysteine?
Genetic disorder
What stone is from red meat and a high oxalate?
calcium oxalate
ADPCKD, what is the first diagnostic step?
CT scan or U/S
ADPCKD, what is the second diagnostic step before supportive treatment/transplant?
Biopsy
What do we not do with RCC?
no biopsy
What is different in the path world about RCC?
It can move hematogenously
What can cause sloughing of necrotic renal papillae?
Renal and Papillary Necrosis
Sickle Cell and NSAID
What can cause widespread granulomatous tissue and foamy macrophages?
Xanthomatous Pyelonephritis
What disease routinely has MVP, Verry Aneurysms, and Pancreatic problems?
ADPCKD